Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mineola Interventional Pain Management PLLC

Organization Specialist · NPI 1518193846

Mineola Interventional Pain Management PLLC provides Specialist services in Mineola, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

184 Old Country Rd
Mineola, NY 11501-4223 Not confirmed with CMS for 17 years — call before visiting
Phone: (516) 294-4457
Fax: (516) 294-5871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 169195 (NY)

Record details

NPI number1518193846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Dudley — Billing Manager · (516) 294-4457
NPI enumeratedJune 1, 2009
Last updated in NPPESJune 1, 2009
Mailing address184 Old Country Rd, Mineola, NY 11501-4223

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